Unlocking Potential: Exploring Dynamic Movement Intervention (DMI)

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Dynamic Movement Intervention (DMI)

What is DMI?

Dynamic Movement Intervention (DMI) is a treatment technique used by physiotherapists and occupational therapists to treat children with gross motor delays. The therapist uses different handling techniques to elicit automatic postural responses that help your child progress their motor skills and developmental milestones. This technique incorporates research on neuro-rehabilitation and works to simulate neuroplasticity in your child, to help with the development of their motor milestones.

During a therapy session with DMI, an assessment will take place to determine appropriate exercises that challenge your child’s physical and neurological system. Exercises focus on achieving proper alignment and work towards creating core stability for functional movements like sitting, crawling and walking. Exercises against gravity are introduced with progressions to increase the challenge and provoke desired movement patterns. Improved balance is a common goal in DMI. 

Who is DMI useful for?

DMI is appropriate for children with delayed motor skills, from rolling to walking, due to a variety of diagnoses including; 

  • Down Syndrome
  • Cerebral Palsy
  • Global Developmental Delay
  • Hypotonia
  • Genetic Disorders/Chromosomal Abnormalities
  • Spinal cord lesions, or acquired brain injuries. 
  • It is also beneficial for children with risk factors for delay such as those born prematurely

If you are interested in DMI therapy and wondering if it is appropriate for your child, you can gain more information below or reach out to book a session with our DMI trained therapist, Kate Heays.

 

 

Where can I learn more?

https://dmitherapy.com/

Learn more about Kate Heays.

How can I book a session?

Click HERE to book a session with our therapist Kate Heays who has her Level C training in DMI!

Written By: Kate Heays

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Discover the Power of Rehabilitation Assistants at PlayWorks Physio!

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Discover the Power of Rehabilitation Assistants at PlayWorks Physio!

At PlayWorks Physio, we take pride in offering comprehensive care to our young patients. In our pursuit of excellence, our dedicated Rehabilitation Assistants (RAs) play a pivotal role in ensuring that every child receives the highest quality of care.

The PlayWorks Experience

At PlayWorks Physio, we take pride in offering a holistic approach to pediatric physiotherapy. Our Rehabilitation Assistants contribute significantly to this approach in several ways:

  • 1:1 Personalized Care: Our RAs provide individualized, one-on-one sessions, guaranteeing that your child’s unique needs are met with precision and dedication.
  • Bringing Fun into Therapy: With creativity and enthusiasm, our RAs implement the physiotherapist’s plan in ways that actively engage children, ensuring that therapy is a delightful and enjoyable experience.
  • Flexible Scheduling: Busy family life is a reality. That’s why we offer flexible scheduling, making it easier to find a convenient therapy time.
  • Community Outreach: Recognizing that therapy doesn’t always necessitate a clinic visit, our RAs work with children in the familiar and comfortable environment of their own homes and communities.
  • Pool Therapy Expertise: For those who find aquatic therapy beneficial, our RAs play a pivotal role. They assist physiotherapists during pool therapy sessions, helping children build water confidence, strength, and work toward their physiotherapy goals.
  • Biking and Playground Skills: We go beyond traditional therapy by supporting children in acquiring vital life skills like biking and mastering the playground. This promotes independence and self-assurance.

How to Get Started

If you believe your child could benefit from the support of a Rehabilitation Assistant, and are already a patient, we encourage you to discuss this option with your physiotherapist. They will be able to guide you through the process and help you decide if working with an RA is the right choice for your child’s unique needs. If you are not a current patient, please book an Initial Assessment with one of our physiotherapists, prior to working with a Rehab Assistant.

Once you’ve decided to work with a Rehabilitation Assistant, we’ll be delighted to assist you in scheduling your sessions. Our team will ensure that you and your child have a personalized and rewarding experience during your time with PlayWorks Physio.

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What is Developmental Coordination Disorder (DCD)?

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What is Developmental Coordination Disorder?

Developmental Coordination Disorder (DCD) is a motor skill disorder that affects roughly 5-6% of school aged kids (5 years and up), with boys being affected at a 2:1 ratio to girls. DCD is commonly described as kids who show awkward, clumsy movements in their day to day.

Often parents or teachers will notice the child having a hard time keeping up with their peers, having difficulty doing tasks that involve one or more movements and/or are delayed in gross motor skills such as jumping, skipping and ball skills. Kiddos with DCD have difficulty planning out tasks, they know what they want to achieve, but they struggle to find the map to get there.  

Common tasks parents notice these children may find difficulty with are as follows:

  • Bike riding: some parents may notice that they can peddle on the bike once on, but they lack the planning to stop, and get off the bike smoothly. 
  • Skipping: arguably one of the most difficult tasks for kids to learn, they have a difficult time skipping as it takes coordination of the arms and legs at the same time.
  • Shuffling: these may be seen during activities such as team sports and warm ups, a difficult. 
  • Ball skills: kids may have difficulty catching and throwing balls with accuracy.

 

How can Paediatric Physiotherapists help with DCD?

We can help by giving REPETITIVE PRACTICE! As adults, we know we get better with practice, often these kids need blocked practice to improve a skill. We can help by identifying a specific goal, give them strategies on how to get there and work on each component of that skill. We give repetitive practice to allow these kids to build that road map from point A to point B. 

We can also perform a movement screening (The Movement ABC), to help determine if your child appears to have a coordination disorder. Book your assessment here.

Things that can help at home:

  • HEAVY PLAY! Fill up a toy shopping cart and push it, pulling a sibling on a bed sheet etc, these tasks help turn on muscles that are often limited. 
  • Give them a plan: If your kid forgets to put on their socks every time before they put on their boots- put a picture of a sock by their boots so they have a visual of what they need to do.
  • Encourage your little one to remain active, whether it’s individual sports, team sports or another activity they choose. These kids can often become discouraged if sports don’t look the same for them as they do for their peers, encourage them to stay active and have fun!

 

If you have any questions, or concerns that your child may have a coordination disorder, we can help! Click here to book your assessment.

Written By: Darrien Cantelo, Physiotherapist

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Common Swimming Injuries in Kids/Teens

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A Swim-pressive Sport

Competitive swimming is a physically demanding sport that requires strength, endurance, speed, and agility.  Training includes repetitive drills to develop effective stroke techniques.  Most swimming injuries are caused by overuse and/or faulty stroke mechanics.

A Deeper Dive into Swimming Injuries

Common injuries include:

  • “Swimmer’s Shoulder”: injury to the muscles, tendons, ligaments, or cartilage in the shoulder joint
  • “Swimmer’s Knee”: injury to the muscles, tendons, ligaments, or cartilage in the knee joint
  • Neck and low back pain

Water the Causes of Swimming Injuries?

  • Overtraining
  • Poor stroke mechanics
  • Poor breathing technique
  • Poor flexibility or range of motion
  • Decreased muscle strength
  • Poor core strength or stability

How Can Physiotherapy Help Your Rehab Go Swimmingly?

At PlayWorks Physio, we can help provide education on proper warm up and cool down strategies, to improve or prevent injuries. Our physiotherapists can create a plan to improve flexibility, strength, endurance and improve stroke mechanics. Addressing all of these areas can help prevent future injuries and pain. In addition to the repetitive nature of swimming, kids are constantly growing and their bodies are changing. This makes them more prone to different types of pain and injuries! We always suggest addressing pain sooner, to have faster recovery and prevent more severe injury.

If you have a swimmer who is experiencing pain, has a current/recurring injury or you want to be preventative, you can book your Initial Assessment here.

 

Written by: Melanie Touhey, Interim Physiotherapist

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5 Tips For Choosing Shoes For Your Toddler

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5 tips for choosing shoes for your toddler

 

Choosing shoes for your toddler can be overwhelming! There are so many brands and styles to choose from. The shoes you put your toddler in can impact their foot development, arch development and overall comfort. Here are 5 important tips to consider the next time you are choosing shoes for your little one:

 

  1. A wide toe box. You want to ensure that the front part of the shoe (the toe box) is wide enough to fully allow your child’s foot to splay/spread out when they are walking. This is important for their balance and both the structural and muscular development of their feet.
  2. A flexible sole. You should be able to easily bend the shoe when you are pushing from the toe and the heel. This will allow their feet to move more naturally while they are walking and promote the development of their arches by allowing their intrinsic foot muscles to engage.
  3. Firm heel cup. The heel cup should be firm – if you pinch the heel of the shoe, it should maintain shape. This will provide adequate support for your child’s feet.
  4. The right size. It’s important to have shoes that fit your child properly, resist the urge to buy shoes that are too big!  The “flex point” of the shoe should line up with where their foot bends when walking. If a shoe is too big, then these two spots will not align. Their feet will be less supported in a larger shoe and can also lead to more tripping and ankle injuries.
  5. Secured. Having shoes with velcro or laces are ideal to make sure they fit snugly on your child’s feet. This will prevent “toe gripping” and decrease tripping. Toe gripping happens when shoes are too big or aren’t secured onto the foot well enough. It can lead to instability and over time lead to foot or leg pain.

 

Proper footwear is so important, especially in the early years! If you have any questions please reach out, we are always happy to help! 

 

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The Top 4 Figure Skating Injuries

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Figure Skating and Common Injuries

Figure skating is a demanding sport that requires flexibility, balance, strength, and artistry. It is a skill-based sport that requires many repetitions of complex movement patterns across all disciplines. With the demands of on-ice, off-ice, flexibility, and dance training, overlooked injuries can grow to more complex injuries.

The Top 4 Figure Skating Injuries:

  1. Ankle Sprains
  2. Knee Pain
  3. Back Injuries, from extreme positions or the impact on landings with a rigid boot
  4. Concussions, can be from falls with or without a direct hit to the head

How physiotherapy can help:

  1. Addressing an injury early can prevent the progression from an acute to a chronic injury. By identifying injuries early on, skaters are able to return to their regular training earlier without pain, allowing the skater to focus on their coach’s feedback.
  2. Pre-habilitation and injury prevention can decrease a skater’s risk of an injury during the season.
  3. Concussions happen in the sport. Recovering from a concussion can be tricky and your physiotherapist can guide your return to sport in a safe manner.

To book an assessment with National Figure Skater and Physiotherapist, Kai-Jing Leong, click here.

Written by: Kai-Jing Leong

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Heel Pain/Sever’s Disease – What is it?

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Severs- what it is, what is happening, how physio can help

What is Sever’s Disease? 

Sever’s Disease occurs when the C shaped growth plate at the back of your heel gets inflamed from stress from the achilles tendon. Growth plates are areas of cartilage located near the ends of the bones, and this is where bone growth occurs. Since it is the last part of a child’s bone to harden, growth plates are particularly vulnerable to injury. Adults don’t have open growth plates anymore, so this condition is found only in kids. Sever’s Disease is also 2-3 times more likely to occur in boys than girls, and it is associated with big growth spurts!

What my child may complain of?

  • No pain in the morning, but usually is worse with increased load during the day
  • Pain worsens with repetitive activities (example: running or jumping)
  • Tenderness on both the inside and outside of the heel
  • No swelling, redness or skin changes noted with this condition
  • Calf tightness

Things that may make Sever’s worse:

  • Worn out shoes
  • Hard surfaces
  • High amounts of physical activity
  • Big growth spurts
  • Back to activity after a long break

How can physio help?!

At Playworks Physio we specialize only in kiddos! We see kids with this type of heel pain VERY often, especially with the start of sports seasons. Your Physio will take a good look at what is happening and what might be causing it, and give lots of tools to help. Some things include stretching and strengthening activities, suggestions for activity modifications, shoe recommendations, and of course, this will all be FUN for your kiddo.

Our main goal is to help reduce your kiddos pain, solve the source of the issue to prevent it from returning, and improve their ability to participate in their activities again, pain free!

– Darrien Cantelo, Physiotherapist

 

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